To demonstrate the utility of calvarial bone as a primary graft choice in nasal reconstruction.
Academic tertiary care center.
Thirty-five consecutive patients who underwent split calvarial bone grafting to the nasal dorsum between June 1988 and September 1993 and who had postoperative follow-up.
Serial clinical examination to assess volume loss, movement of the graft, and complications. Standardized photographs to assess nasal contour.
Fixation of the graft was accomplished using a technique that promotes bone-to-bone healing without fixation screws or wires. The most common complication was seroma or hematoma of the scalp (8%). There were no dural tears or intracranial complications. Longterm donor site morbidity consisted of one case of local alopecia (2.8%). A good nasal contour was achieved in 97% of patients.
Based on the experimental evidence reviewed and our clinical experience, split calvarial bone is recommended as a material of choice for nasal dorsal reconstruction.(Arch Otolaryngol Head Neck Surg. 1995;121:643-648)
Cheney ML, Gliklich RE. The Use of Calvarial Bone in Nasal Reconstruction. Arch Otolaryngol Head Neck Surg. 1995;121(6):643-648. doi:10.1001/archotol.1995.01890060041008